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THE CHICAGO CENTER FOR COSMETIC AND IMPLANT DENTIS NPI 1629143649


NPI Information

NPI: 1629143649
Provider Name: THE CHICAGO CENTER FOR COSMETIC AND IMPLANT DENTIS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
205 W MAIN STREET
BARRINGTON, IL
ZIP 60010
Phone: (847) 842-6900
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THE CHICAGO CENTER FOR COSMETIC AND IMPLANT DENTIS is a periodontics dentist in Barrington, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. THE CHICAGO CENTER FOR COSMETIC AND IMPLANT DENTIS NPI is 1629143649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 W MAIN STREET
BARRINGTON, IL
ZIP 60010-222
Phone: (847) 842-6900
Fax: (847) 842-6966

The provider's authorized official is Thomas Francis Jackson .
The authorized official title is President and has the following contact phone number (847) 842-6900.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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